Individual
SCOTT DOUGLAS STALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5525 W SLAUSON AVE, LOS ANGELES, CA 90056-1047
(310) 642-0325
(310) 642-0336
Mailing address
5525 W SLAUSON AVE, LOS ANGELES, CA 90056-1047
(310) 642-0325
(310) 642-0336
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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